Jason Lee Anderson, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN11002440 Issued in FL

Practice address

5113 Neponset Ave
Orlando, FL 32808-1655

Phone

(863) 307-6750

NPI assigned

Feb 28, 2019

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jason.anderson@3429.securemail.prognocis.com
• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71213

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Winter Park Internal Medicine MD PA

  • Internal Medicine Physician
  • Winter Park, FL
  • NPI 1679599278
  Medicare reassignment NPD
• Encore Health, LLC

  • Adult Health Nurse Practitioner
  • Orlando, FL
  • NPI 1073241378
  NPD Authorized official
• Spektrum Health

  • Primary Care Clinic/Center
  • Orlando, FL
  • NPI 1467921767
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1235696915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5113 NEPONSET AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328081655",
            "telephone_number": "863-307-6750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5113 NEPONSET AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328081655",
            "telephone_number": "863-307-6750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JASON",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-28",
        "last_updated": "2023-10-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11002440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER",
            "identifier": "1235696915",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Anderson, PA-C
• Eric Ishwar Anderson, CAA
• Hali Rose Anderson, MA, BCBA
• Heather Anderson, ARNP
• Heather Louise Anderson, CSFA
• Jonathan O Anderson, MD
• Kallin Anderson
• Kathleen E Anderson, D.M.D.
• Kayla Faye Anderson
• Latasha Anderson, ARNP

• Nurse Practitioner in Orlando, FL
• Providers in Orlando, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.